Homocystinuria with lower gastrointestinal bleeding: first case report.

Objective: To report a rare complication of homocystinuria in a child and highlight the association of homocystinuria with lower gastrointestinal bleeding and intestinal thrombosis.

Clinical Presentation And Intervention: A 7-year-old boy with homocystinuria and poor compliance with treatment presented with abdominal pain and bloody stools. Doppler ultrasound showed superior mesenteric and middle colic vein thrombosis.

'Refeeding syndrome' in a Kuwaiti child: clinical diagnosis and management.

Objective: To report a case of refeeding syndrome in a Kuwaiti child, its clinical presentation and management.

Clinical Presentation And Intervention: A 13-month-old Kuwaiti boy presented with acute severe malnutrition in the form of marasmic kwashiorkor. On admission, blood sugar and serum electrolytes were normal but on the 3rd day he developed typical biochemical features of refeeding syndrome in the form of hyperglycemia, severe hypophosphatemia, hypokalemia, hypocalcemia and hypomagnesemia.